# MASSAC MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Massac Memorial Inegrated Care Clinic, Massac Memorial Integrated Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356968275
- **Authorized official:** LYNN ANN GOINES (CFO)
- **Authorized official phone:** (618) 524-2176

## Contact information

- **Practice address:** 28 CHICK ST STE 100, METROPOLIS, IL 62960-2467
- **Practice address phone:** (618) 524-8381
- **Mailing address:** PO BOX 850, METROPOLIS, IL 62960-0850
- **Mailing address phone:** (618) 524-8381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 08/04/2025